Skip to main content

Caries Risk Assessment

This template helps to streamline clinical workflow for the provider.

Description#

This Caries Risk Assessment is part of a Collaboration with the ICDAS Foundation (ICCMS™ and CariesCare International) and ACFF.

It is designed to fit with the new CariesCare International “4D in Practice” model.

The form includes a patient and a provider component, the responses are tabulated automatically to provide a caries risk score.

Sample#

View a sample PDF of this template.

Image of template.

Actions#

Request this template for your ICE Health Systems environment.

Provide feedback about this template.

Details#

VersionOrigin / ContributorsCreative Commons
1ICDAS, ACFFAttribution 4.0 International